Mistry Rahul, Ananthakrishnan Krishnan, Hamid Bushra N, Powell Christopher, Foster George E
Countess of Chester Hospital NHS Foundation Trust, Liverpool, United Kingdom.
Urology. 2006 Aug;68(2):428.e1-3. doi: 10.1016/j.urology.2006.03.002.
We report on a female patient who presented with recurrent urinary tract infections. The investigations revealed an adenocarcinoma of the appendix fistulating into the bladder and causing irritative symptoms. After right hemicolectomy and partial cystectomy, she was well at 3 months without any need for adjuvant therapy. This unusual situation reminds us that the finding of bladder adenocarcinoma is rare, and it would be prudent to examine the lower gastrointestinal tract thoroughly to look for a bowel source, before recommending any ablative surgery.
